Active NPI
Renick Matthew Smith, MD
- Gastroenterology Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101232557
- Practice address
- 1500 Dixon St Ste 202
Fredericksburg, VA 22401-7231 - Phone
- (540) 370-0430
- Fax
- (540) 370-0021
- NPI assigned
- Oct 10, 2005
- Last updated
- Apr 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101232557 | VA | Primary |
Addresses
Primary practice location
1500 Dixon St Ste 202
Fredericksburg, VA 22401-7231
Mailing address
PO Box 745462
Atlanta, GA 30374-5462
Phone (540) 370-0430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1451 Hospital Dr
Suite 201
Fredericksburg, VA 22401-8424
Phone (540) 361-2040
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 76.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 185 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Multi-Specialty, LLC | Current | Accepting new patients | |
| Fall Hill Gastroenterology Associates, a Division of Maha, Inc. | Gastroenterology | Past | Accepting new patients |
| Lewis Plastic Surgery, PC | Past | Accepting new patients | |
| Spotsylvania Multi-Specialty Group, LLC | Past | Accepting new patients | |
| Fall Hill Gastroenterology Associates, LTD. | Gastroenterology | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1451 Hospital Dr
Ste 201
Fredericksburg, VA 22401
Phone (540) 361-2040
1500 Dixon St
Ste 102
Fredericksburg, VA 22401
Phone (540) 370-0430
1500 Dixon St
Ste 202
Fredericksburg, VA 22401
Phone (540) 370-0430
1451 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 267-6009
Interoperability endpoints
- renick.smith@hca6.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic Surgery Physician
- Fredericksburg, VA
- NPI 1922336304
-
- Gastroenterology Physician
- Fredericksburg, VA
- NPI 1164477493
-
- Gastroenterology Physician
- Fredericksburg, VA
- NPI 1902991151
-
- Plastic Surgery Physician
- Midlothian, VA
- NPI 1386907400
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1588980015
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
-
dba Spotsylvania Regional Medical Center
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1376876664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1346238821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745462",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303745462",
"telephone_number": "540-370-0430",
"fax_number": "540-370-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DIXON ST STE 202",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224017231",
"telephone_number": "540-370-0430",
"fax_number": "540-370-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RENICK",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101232557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.